Marc Umlas 12/31/221/13/2021
City Commission
12/31/22 12/31/22
1/20/2021 1/20/2021
4/12/2021
4/12/2021
4/12/2021
4/12/2021
1AMIBE
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF TH E CITY CLERK
Email: BC@mniamibeachfl.gov
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
me.e9y Dude couNTY OF ALA 7
¡
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4)
as (check (/) all that apply):
»m a resident of the City of Miami Beach for six months or longer.
~ ~~ave an ownership interest (for a minimum of six months) in a business established in the
City of Miami Beach (for a minimum of six months).
D I am a full-time employee of a business (for a minimum of six months) and I am based in an
office or other location of the business that is physically located in Miami Beach (for a
minimum of six months).
"Ownership Interest" means the ownership of ten percent (10%) or more (including the
ownership of 10% or more of the outstanding capital stock) in a business.
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under penalties df perjury, I declare that l have read the foregoing document and that the facts
stated int are true.
e
-·. +las Date~
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of EX physical presence or [ online
notarization, this 9th 4ay of April _,2021_by
Marc Um las (City of Miami Beach Board/Committee Member).
X Produced ID FL Drivers License
Form of Identification
Personally Known
ala D'aeta
Signature of Notary PuÉic
Charles .J D'Agostin
Name of Notary, Typed, Printed, or Stamped
(NOT ARY SEAL)
Charles J. DAgostin
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG168171
ZS" Expires 12/14/2021
X
Received on April 9, 2021Office of the City Clerk